Decline in NHS 111 calls ‘could be linked’ to Pharmacy First, says CQC

The CQC’s latest State of Care report said the continued decline in NHS 111 calls may be "partly” connected to the Pharmacy First service.

medical call post-it
NHS 111 service saw 85,000 fewer calls over the last year (Masha_art)

Pharmacy First could be “partly” behind the decline in NHS 111 calls, the Care Quality Commission (CQC) has said in its annual State of Care report.

The report, published on October 23, said an ongoing decrease in calls “could be linked partly” to the “introduction of the national NHS Pharmacy First service in January 2024”.

It added that increased use of NHS 111 online and the rollout of online booking for GP appointments in 2025 could also be linked to the decline.

Read more: ‘A better Britain’: PM hails five new Pharmacy First conditions

In the CQC’s previous report, the regulator reported that the number of NHS 111 calls had “dropped dramatically”.

“In 2025/26, the use of the NHS 111 call service has continued to decrease but at a slower rate, dropping by 85,000 calls to less than 19.9 million” it said.

It added that the number of consultations provided by the Pharmacy First service has “continued to increase” over the last year, with over 3.4 million consultations in 2025/26.

Read more: Community pharmacy creates £31.6bn of social value, says CPE 

The report also mentioned pharmacists’ role in severe mental illness care.

It outlined the six elements of the “core” annual severe mental illness physical health check - alcohol consumption status, blood glucose test, blood pressure, body mass index, cholesterol test and smoking status - and said “a range of health professionals”, including pharmacists, can deliver the checks and support for follow-up interventions.

Read more: Revealed: GP referrals to Pharmacy First down by quarter in a year 

It comes after NHS England last month confirmed the five new conditions that will be added to Pharmacy First from autumn.

And it follows analysis published by Community Pharmacy England last week showing that community pharmacies in England generate £31.6bn of social value.

Declan Ryder

Read more by Declan Ryder

Declan joined C+D as a reporter in July 2026. He has previous bylines in The Drinks Business magazine and graduated with an MA in Journalism from City St George's, University of London with Distinction earlier this year.

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